instruction stringclasses 1
value | input stringlengths 6 8.98k | output stringlengths 5 3.11k |
|---|---|---|
Generate impression based on findings. | 69-year-old female with metastatic breast carcinoma to lungs with small nodules CHEST:LUNGS AND PLEURA: Left upper lobe paramediastinal nodule measures 8 x 11 mm, not significantly changed (series 5, image 24).Reference right upper lobe nodule is unchanged in size measuring 6 x 5 mm (series 5, image 30).Upper lobe pred... | 1.No significant change in size of reference left upper lobe paramediastinal nodule and additional scattered nodules as described above.2.No significant change in size of of mediastinal and hilar lymph nodes as described above.3.No significant change in size of right axillary lymphadenopathy. |
Generate impression based on findings. | 20-day-old former 24 week gestational age patient with history of bowel perforation.VIEW: Chest AP (one view) 3/25/15 at 1525 Endotracheal tube tip is between the thoracic inlet and the carina. Feeding tube tip is past the GE junction.Marked soft tissue edema is slowly increased over multiple exams.Lung volumes are lar... | Complications from surfactant deficiency with increased left upper lobe opacity and continued gradual increase in soft tissue edema. |
Generate impression based on findings. | Intractable epilepsyRADIOPHARMACEUTICAL: 10.5 mCi F-18 fluorodeoxyglucose (FDG)BLOOD GLUCOSE (FASTING): 83 mg/dL Today's CT portion demonstrates no significant intracranial pathology.Today's PET examination demonstrates mild regionally decreased metabolic activity involving the left anteromedial temporal lobe which is ... | Subtle hypometabolism involving the left anteromedial temporal lobe, suspicious for an interictal focus. |
Generate impression based on findings. | 52 years, Female. Reason: Constipation History: ABd pain Greater than average stool burden. Nonobstructive bowel gas pattern. There is a mildly distended stomach. Pelvic phleboliths. | Greater than average stool burden. |
Generate impression based on findings. | Reason: 43y/o female with personal history of breast cancer; pt been experiencing lower back pain for several months with no relief. No abnormal osseous foci are identified to indicate metastatic disease. Focal linear activity anteriorly at the L5-S1 level was identified on whole body images and was further investigate... | 1. No evidence of osseous metastatic disease. 2. Increased activity at L5-S1 correlates with degenerative disk disease in this location on SPECT/CT. |
Generate impression based on findings. | Reason: hypercalcemia History: elevated calcium with normal PTH. There is a small-medium focus of increased activity posterior to the inferior right thyroid pole consistent with a parathyroid adenoma. | Parathyroid adenoma posterior to the inferior right thyroid pole. |
Generate impression based on findings. | Male 16 years old Reason: pt off therapy for osteosarcoma, recent history of cough LUNGS AND PLEURA: Interval resolution of right lower lobe, upper segment subpleural opacity. No evidence of metastatic disease. No pleural effusion or pneumothoraxMEDIASTINUM AND HILA: No discrete hilar or mediastinal lymphadenopathy ide... | Interval resolution of left upper segment of the right lower lobe opacities previously described. |
Generate impression based on findings. | 15-year-old male periumbilical abdominal pain, concern for contour bowel disease.EXAMINATION: MR enterography without and with IV contrast 3/25/15 ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No signifi... | Multiple segments of small bowel wall edema and inflammation including the terminal ileum to ileocecal valve. These findings are consistent with inflammatory bowel disease. No fistula or abscess identified. |
Generate impression based on findings. | 58 year-old female patient with history of endometrial cancer with peritoneal implants and abdominal adenopathy. Please compare to prior examination. CHEST:LUNGS AND PLEURA: Right upper lobe subpleural nodule measures 4 mm (series 5 image 31). MEDIASTINUM AND HILA: Scattered prominent mediastinal lymph nodes. A referen... | 1.No significant interval change in extensive metastatic lymphadenopathy and peritoneal implants.2.Incompletely characterized left renal lesion again noted. |
Generate impression based on findings. | Left submandibular gland swelling, palpable mass in left submandibular space and floor of mouth on bimanual palpation. There is an unchanged left submandibular gland calculus that measures up to 6 mm. There is associated mild ductal dilatation within left submandibular gland. The left submandibular gland appears to be ... | Persistent left submandibular gland calculus that measures up to 6 mm with mild ductal dilatation and inflammatory changes that may represent recent upon chronic sialadenitis. Although no discrete salivary gland soft tissue mass is identified, follow up with a dedicated MRI may be useful for further evaluation. |
Generate impression based on findings. | Reason: Exam for thromboembolic disease in patient with pHTN History: pulmonary HTN The comparison chest radiograph demonstrates left lower lobe consolidation and bilateral small pleural effusions. The ventilation portion of the exam demonstrates absent ventilation of both lower lobes on wash-in images. There is abnorm... | Intermediate probability of pulmonary embolism. |
Generate impression based on findings. | 44-year-old male with history of bilateral elbow pain. Four views of the left elbow demonstrate normal anatomic alignment. No acute fracture or significant joint effusion is identified. Joint spaces are maintained.Four views of the right elbow demonstrate normal anatomic alignment. No acute fracture or significant join... | No acute abnormality. |
Generate impression based on findings. | Endometrial cancer with neuropathy, assess for brain metastases. There is no evidence of acute intracranial mass or abnormal enhancment. The grey-white matter differentiation appears to be intact. The ventricles are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses ... | No evidence of intracranial metastases. |
Generate impression based on findings. | Completion staging for newly diagnosed T1 esophageal squamous cell carcinoma 20 - 25 cm from incisors.RADIOPHARMACEUTICAL: 14.1 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 84 mg/dL. Today's CT portion grossly demonstrates an enlarged superior paratracheal lymph node anteriorly. A densely calcified right ... | 1.Markedly hypermetabolic mid esophageal mass, compatible with esophageal cancer.2.Moderately hypermetabolic superior paratracheal lymph node, indicating a regional lymph node metastasis.3.No additional convincing FDG avid metastatic disease. Slightly hypermetabolic right hilar lymph node considered more likely inflamm... |
Generate impression based on findings. | Male 29 days old Reason: is there atelectasis History: increased work of breathingVIEW: Chest AP (one view) 3/25/15 at 1528 hrs. Central line terminates at the retrohepatic IVC. NG tube is present. Interval removal of ET tube.Cardiac silhouette size is normal. Persistent right-sided or effusion. Right middle and lower ... | Multifocal opacities on a background of diffuse lung haziness and right sided perfusion as described. |
Generate impression based on findings. | 69-year-old female with cervical radiculopathy. Four views of the cervical spine demonstrate degenerative changes including multilevel disk space narrowing involving C4-5, C5-6, and most significantly at C6-7. Anterior vertebral body osteophytosis is present at C5 through C7. Atherosclerotic calcification presumably af... | Multilevel degenerative disease of the cervical spine as above. |
Generate impression based on findings. | 48 year-old female with left knee pain. Four views of the left knee demonstrate mild joint space narrowing of the medial tibiofemoral compartment of the left knee, mild osteophytosis of the inferior surface of the patella, consistent with mild osteoarthritis. A moderate joint effusion is present. There is no evidence o... | Mild osteoarthritis and moderate joint effusion, without evidence of acute fracture. |
Generate impression based on findings. | Reason: 64yo female with history of cervical cancer and new rectovaginal fistula with pelvic tumor seen on CT A/P RADIOPHARMACEUTICAL: 12.8 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 141 mg/dL. Today's CT portion grossly demonstrates a right chest port with tip in the left innominate vein. Cholecystecto... | 1.Hypermetabolic cervicovaginal soft tissue is highly suspicious for recurrent tumor.2.Hypermetabolic bilateral inguinal and right obturator lymph nodes are very suspicious for regional metastatic disease.3.Hypermetabolic left thyroid nodule may be benign or could possibly represent a primary thyroid malignancy. Correl... |
Generate impression based on findings. | Unknown 3 months old Reason: how is bowel gas pattern/compare to previous xray History: abd distention, feeding difficulties.VIEW: Abdomen AP (one view) 3/25/15 1536 hours Bibasilar opacities again noted. Proximal side-port of NG tube is above GE junction. Disorganized, slightly distended and nonspecific abdominal gas ... | Bibasilar opacities, likely atelectasis.Disorganized, slightly distended and nonspecific abdominal gas pattern.Question of bilateral developmental hip dysplasia. |
Generate impression based on findings. | 64-year-old male with history of right shoulder pain with elevation and internal rotation. Three views of the right shoulder demonstrate minimal joint space narrowing and osteophytosis along the inferior glenoid labrum, suggesting mild osteoarthritis. There is mild degenerative disease affecting the acromioclavicular j... | Mild osteoarthritis of the right glenohumeral and acromioclavicular joints. |
Generate impression based on findings. | Evaluate for metastases to brain: AMS. There is a mass in the sella that measures up to approximately 20 mm. The grey-white matter differentiation appears to be intact. The ventricles are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are cl... | A mass in the sella that measures up to approximately 20 mm likely represents a pituitary macroadenoma, although a metastasis cannot be excluded. Otherwise, no evidence of intracranial metastases. |
Generate impression based on findings. | 42-year-old female, status post right mastectomy in 2011 followed by chemotherapy for breast cancer presents for diagnostic mammogram of the left breast. Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may ob... | Given the heterogeneously dense breast pattern, comparison with prior mammograms is recommended. Results and recommendation were discussed with the patient.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: O - Old Study For Comparison. |
Generate impression based on findings. | 62 year-old female with 3 day history of pain and decreased range of motion the right shoulder. Three views of the right shoulder demonstrate normal anatomic alignment, without evidence of acute fracture. Calcification within the glenohumeral articular cartilage is consistent with chondrocalcinosis. Calcification withi... | 1.Chondrocalcinosis of the glenohumeral joint.2.Calcific tendinopathy of the rotator cuff. |
Generate impression based on findings. | 41 year old woman with smoking history and atypical chest pain. She is referred to rule out coronary artery disease.CPT Code: 75574 Coronary arteries: LM: The left main coronary artery arises normally from the left sinus of Valsalva and bifurcates into the left anterior descending and left circumflex coronary arteries.... | 1. There are no significant coronary artery stenoses present. 2. Minimal coronary atherosclerosis is noted. 3. There is mild left ventricular hypertrophy and mild left atria dilation.This portion of the report pertains to the heart and great vessels only. The remaining soft tissues of the thorax and upper abdomen will ... |
Generate impression based on findings. | AML receiving chemotherapy with cough. Evaluate for infection. LUNGS AND PLEURA: Few scattered foci of centrilobular emphysema. No pleural fluid or pneumothorax. No focal air space opacities, pleural fluid or pneumothorax. Specifically, no signs of pneumonia.IMEDIASTINUM AND HILA: Mild cardiomegaly. No pericardial flui... | No signs of pneumonia. Right PICC terminates in the right axillary vein. Incompletely assessed hepatic lesions, some of which appear to be simple cysts however others may be complex cysts or indeterminate lesions. |
Generate impression based on findings. | Male; 37 years old. Reason: eval for diverticulitis History: abd pain, rectal bleeding ABDOMEN:LUNG BASES: Moderate size hiatal hernia.LIVER, BILIARY TRACT: 2.7 x 2.7 hyperattenuating lesion in the inferior right hepatic lobe with a mildly lobulated border and mild central hypoattenuation (series 3/40), an appearance m... | 1. Severe diffuse colitis, most likely due to infectious etiology though other etiologies cannot be excluded.2. Nonspecific small pancreatic hypoattenuating lesion, most likely a sidebranch IPMN or pseudocyst (if the patient has a history of pancreatitis). This merits further follow-up in 12 months.3. Probable right he... |
Generate impression based on findings. | 14 -year-old pedestrian versus auto.VIEWS: Right femur AP, lateral (two views) 3/25/15 No fracture or malalignment. No significant soft tissue swelling. | Normal examination. |
Generate impression based on findings. | 25-year-old pregnant female with history of AIDS, low O2 saturation and hemoptysis. PULMONARY ARTERIES: Technically adequate study to the level of the segmental arteries. There is no evidence of acute pulmonary embolus to the level of the segmental arteries.LUNGS AND PLEURA: There is dense consolidation with air bronch... | 1. No evidence of large central pulmonary embolus.2. Given size, location, and appearance, the above pulmonary findings are favored to represent multifocal infection over pulmonary infarctions.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strai... |
Generate impression based on findings. | The ventricles and sulci are prominent, consistent with mild age-related volume loss. There is no midline shift. There are a few punctate foci of hyperdensity in the right corona radiata with surrounding ill-defined abnormal low density. There is equivocal mild blunting of the adjacent right lateral ventricle margin s... | 1. No large acute intracranial hemorrhage.2. Punctate foci of hyperdensity along the right corona radiata with surrounding abnormal low density and questioned mild local mass effect upon the adjacent ventricular margin. These may represent foci of petechial hemorrhage with associated vasogenic edema. Alternatively, the... |
Generate impression based on findings. | 80 year-old female with pleural mesothelioma CHEST:LUNGS AND PLEURA: Left pleural mesothelioma with reference lesions as follows:1. At the level of the aortic arch (series 3, image 33), 42 mm at 10 o'clock, previously 42 mm. 56 mm at 7 o'clock, previously 56 mm.2. At the level of the pulmonary artery (series 3, image 5... | Pleural mesothelioma with reference measurements not significantly changed from the prior exam. |
Generate impression based on findings. | 40 year-old male with worsening abdominal pain, evaluate for expansion of pseudocyst, bleeding. ABDOMEN:LUNG BASES: New confluent air space disease at the left lung base -- while this may represent atelectasis, this is incompletely visualized and infection cannot be excluded.LIVER, BILIARY TRACT: Pneumobilia again seen... | 1. Minimal change in pseudocyst in tail of pancreas, perhaps slightly smaller. No peri-pancreatic new fluid collection seen. 2. Thrombosed splenic vein with multiple collaterals unchanged. No other vascular abnormalities are seen. 3. New left basilar lung consolidation base disease incompletely imaged -- while this may... |
Generate impression based on findings. | There is a diffusely abnormal appearance of the posterior calvarium, with innumerable but relatively symmetric appearing wormian bones, consistent with known history of osteogenesis imperfecta. The lambdoid sutures are not well delineated upon the background wormian bones. There are patient age. There is a focal osseo... | 1. Innumerable wormian bones along the posterior calvarium bilaterally with non-delineation of the lambdoid sutures consistent with patient's known history of osteogenesis imperfecta. Symmetric posterior plagiocephaly with increased transverse as opposed to AP dimension.2. The coronal sutures are identified although pe... |
Generate impression based on findings. | Newly diagnosed lung cancer, staging exam.RADIOPHARMACEUTICAL: 12.1 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 98 mg/dL. Today's CT portion grossly demonstrates a 4.5 x 3.5 cm right middle lobe mass as well as multiple additional bilateral pulmonary nodules. There are large right paratracheal and left s... | 1.Markedly hypermetabolic right middle lobe mass consistent with the patient's known history of lung cancer.2.Markedly hypermetabolic large right mediastinal and left supraclavicular lymph node metastases.3.Probable additional bilateral pulmonary parenchymal and bilateral adrenal metastases. |
Generate impression based on findings. | Sarcoma resection of the thigh, check for metastatic disease LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. No pleural effusions or focal areas of consolidation. Unchanged right upper lobe calcified micronodule.MEDIASTINUM AND HILA: No lymphadenopathy.Normal heart size without significant pericardial effu... | No evidence of metastatic disease. |
Generate impression based on findings. | 47 year old with symptomatic left breast cyst presents for aspiration. Left ultrasound re-identified the target lesion for aspiration. The lesion to be targeted is a anechoic cyst measuring 20 mm at the 3 o’clock position without increased vascularity, 3 cm from the nipple. The lesion was readily visible.PROCEDURE: The... | Successful left breast cyst aspiration for symptomatic relief.BIRADS: 2 - Benign finding.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Previous breast cancer with two new findings on outside ultrasound. Biopsy of one or both sites is requested. Right ultrasound re-identified the target lesion for biopsy. The lesion to be targeted is a hypoechoic area measuring 18 mm at the 12 o’clock position without increased vascularity, 2 cm from the nipple. The le... | Successful ultrasound-guided core biopsy of the right breast 12:00 lesion and clip placement. Pathology is pending at this time. The right breast 9:00 finding is compatible with scarring. BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | evaluation for acoustic neuroma, tinnitus No evidence of acute ischemic or hemorrhagic lesion.The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The o... | No evidence of acute ischemic or hemorrhagic lesion. |
Generate impression based on findings. | head trauma Soft tissue swelling on the right forehead indicating subgaleal hematoma without evidence of underlying skull fracture.No intracranial acute ischemic or hemorrhagic lesion.Non specific small vessel disease, mild degree.The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effe... | Right frontal soft tissue hematoma, otherwise unremarkable. |
Generate impression based on findings. | headache for 2 weeks No evidence of acute ischemic or hemorrhagic lesion.The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses and mastoid ... | No evidence of acute ischemic or hemorrhagic lesion. |
Generate impression based on findings. | headache vomiting No evidence of acute ischemic or hemorrhagic lesion.The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses and mastoid air... | No evidence of acute ischemic or hemorrhagic lesion. |
Generate impression based on findings. | altered mental status No evidence of acute ischemic or hemorrhagic lesion.Mild diffuse brain atrophy which is age appropriate, no change since prior exam.Mild non specific small vessel disease, no change since prior exam.Prominent ventricular system, no change since prior exam.The ventricles, sulci, and cisterns are sy... | No evidence of acute ischemic or hemorrhagic lesion.No change of mild brain atrophy, non specific small vessel disease and prominent ventricular system since prior exam.If clinically indicated brain MRI can be considered for further evaluation. |
Generate impression based on findings. | Clinical question: AMS. Signs and symptoms: Seizure. Nonenhanced head CT:There is no detectable acute intracranial process. CT however he is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray -- white matter diff... | 1.No acute intracranial process. 2.Heavy arterial vascular calcification of intracranial and extracranial branches. |
Generate impression based on findings. | Clinical question: Evaluate CVA. Signs and symptoms: Left-sided weakness since last night. Nonenhanced head CT:No detectable acute intracranial process. CT however is insensitive for early detection of acute non-hemorrhagic ischemic strokes.There is a focus of low-attenuation in the left globus pallidus suspicious for ... | 1.No acute hemorrhage or mass effect.2.Focus of low-attenuation in the left globus pallidus suggestive of an age indeterminate lacunar infarct. Consider follow-up with an MRI exam.3.Chronic right orbital lamina papyracea blowout fracture.4.Right suboccipital soft tissue hemorrhage and edema. |
Generate impression based on findings. | transient ischemic attack No evidence of acute ischemic or hemorrhagic lesion.Prominent subdural space especially parafalcine area, no change since prior exam.The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute h... | No evidence of acute ischemic or hemorrhagic lesion. |
Generate impression based on findings. | Right lower quadrant pain. Evaluate for appendicitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: Stable mild prominence of the main pancreatic duct. No focal mass lesion.ADRENAL GLANDS: No significant abnorm... | No evidence of appendicitis or other findings to account for the patient's abdominal pain. |
Generate impression based on findings. | 50 years, Male. Reason: assess for obstruction vs ileus History: abd pain There is a nonobstructive bowel gas pattern. Surgical clips project over the left hip. There is an LVAD in place. Sternotomy wires and pacemaker lead unchanged. Incompletely imaged left basilar opacity. | Paucity of bowel gas. |
Generate impression based on findings. | 18 years, Male. Reason: trauma History: GSW to thoracoabdominal There is a nonobstructive bowel gas pattern. No fracture is evident. No radiopaque foreign object identified. | No radiopaque foreign object identified. |
Generate impression based on findings. | LUNG APICES: The lung apices are not visualized. VASCULATURE: Limited exam does not include aortic arch or left subclavian artery. LEFT ARM: The axillary and brachial arteries are patent. An early branching artery on the radial side of the forearm which is thought to represent the radial artery is occluded near its or... | 1.Limited exam does not include aortic arch or left subclavian artery. 2.Occlusion of the radial artery near its origin. There is runoff through the forearm via the ulnar and what appears to be a small accessory radial artery. 3.Extensive soft tissue edema. |
Generate impression based on findings. | 65 years, Female. Reason: NGT placement History: NGT placement NG tube coiled above the diaphragm with the tip terminating at the level of the diaphragmatic crura, within a large hiatal hernia/nonobstructive gastric volvulus. There is a nonobstructive bowel gas pattern. There moderate degenerative changes of the lower ... | NG tube coiled within a large hiatal hernia/nonobstructive gastric volvulus. |
Generate impression based on findings. | Female, 12 years old. Desk fell on top of right foot today, evaluate for fracture. Point tenderness over 1st and 2nd metatarsals with radiation to great toeVIEWS: Right foot AP, lateral, oblique (3 views) 3/25/2015, 1702 A comminuted, nondisplaced fracture through the diaphysis of the first metatarsal and a nondisplace... | Comminuted, nondisplaced fracture through the diaphysis of the first metatarsal and a nondisplaced transverse fracture through the diaphysis of the second metatarsal. |
Generate impression based on findings. | 65 years, Female. Reason: evaluate for volvulus History: abdominal pain, nausea/vomiting Bowel gas is seen above the midline above the diaphragm, consistent with a large hiatal hernia confirmed on a subsequent CT examination. Sternotomy wires in place. Calcified uterine fibroid. Moderate degenerative changes of the low... | Large hiatal hernia. |
Generate impression based on findings. | Abdominal pain and elevated lipase. Evaluate for pancreatic necrosis. ABDOMEN:LUNG BASES: Dependent basilar subsegmental atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: The pancreas demonstrates homogenous enhancement without evidence of necrosis. The ... | 1.Inflammatory changes within the peri-pancreatic fat in the pancreaticoduodenal groove and adjacent to the uncinate process of pancreas. The pancreas itself is relatively normal in appearance while the adjacent duodenum demonstrates prominent wall thickening. This raises the possibility of duodenitis as the primary in... |
Generate impression based on findings. | 2-year-old male slammed thumb in door yesterday.VIEWS: Left hand PA, lateral (two views) 3/25/15 at 2240 Minimally displaced fracture of the tip of the distal phalanx of the first digit. Soft tissue swelling is present about the thumb. | Minimally displaced fracture of the tip of the distal phalanx of the first digit. |
Generate impression based on findings. | 44-year-old male patient with left lower quadrant pain and rectal bleeding. Evaluate for diverticulosis. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No sign... | No specific findings to account for patient's symptoms. |
Generate impression based on findings. | 53 years, Female. Reason: confirm dobhoff placement History: recent dislodgement, pain Nasojejunal tube with its tip projecting over the proximal jejunum, beyond the ligament of Treitz. Cystgastrostomy tube in place. High-density material in the left upper quadrant persists. There is a nonobstructive bowel gas pattern. | Nasojejunal tube with its tip projecting over the proximal jejunum, beyond the ligament of Treitz. |
Generate impression based on findings. | 56 years, Female. Reason: evaluate NJ tube placement History: NJ tube placement Nasojejunal tube with tip projecting over the proximal jejunum, beyond the ligament of Treitz. Gaseous distention of large and small bowel, suggestive of ileus, although incompletely imaged. Orthopedic hardware affixes the lower lumbar spin... | 1.Nasojejunal tube with tip projecting over the proximal jejunum, beyond the ligament of Treitz. 2.Incompletely imaged gaseous distention of large and small bowel suggests ileus. |
Generate impression based on findings. | Male, 2 years old. History: laceration with purulent drainage lat plantar surface of R 5th toe whole. Evaluate for foreign object.VIEWS: Right foot AP, lateral, oblique (3 views) 3/25/15, 1714 The osseous structures and joint spaces are normal.Moderate soft tissue swelling around the fifth digit.No radiopaque foreign o... | No radiopaque foreign object is identified. |
Generate impression based on findings. | 48 years, Male. Reason: nausea and vomiting r/o small bowel obstruction History: nausea and vomiting, r/o small bowel obstruction There is marked gaseous distention of the small bowel with a relative paucity of bowel gas seen distally, consistent with a bowel obstruction. Capacious nature of the distal small bowel like... | Marked gaseous distention of the small bowel, with a paucity of gas seen distally, consistent with a bowel obstruction. |
Generate impression based on findings. | Call back from screening mammogram for an asymmetry in the right medial breast. ML and CC views with a spot compression view of the right breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. Skin lesion in the right medial breast is marked with a round marker. A circumscribed round asymmetry, which... | No mammographic or sonographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 11-month-old female with wheeze and coughVIEW: Chest AP (one view) 3/26/15 at 2350 The cardiothymic silhouette is normal. No focal pulmonary opacities. No pleural effusion or pneumothorax. Increased lung volumes. Mild bronchial wall thickening compatible with bronchiolitis/reactive airway disease. | Bronchiolitis/reactive airway disease pattern. No pneumonia. |
Generate impression based on findings. | 55-year-old female with swelling and erythema of the right knee. Four views of the right knee demonstrate a small joint effusion without evidence of acute fracture or malalignment. There is tricompartmental osteophytosis, which has progressed when compared to prior. There is also suggestion of joint space narrowing, al... | Small joint effusion and osteoarthritis. |
Generate impression based on findings. | Female, 14 years old. Pedestrian vs. automobile with knee pain, please assess for fracture. Right knee pain with palpation and ROM testingVIEWS: Right knee AP, lateral, oblique (3 views) 3/25/15, 1802 The osseous structures and joint spaces are normal.No significant joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | Female, 10 years old. Swelling,injuryVIEWS: Left hand PA, left fourth finger, lateral, oblique (3 views) 3/25/15, 1817 Small cortical defect along the lateral aspect of the fourth distal phalanx tuft, compatible with a nondisplaced fracture.Otherwise, the osseous structures and joint spaces are normal.No significant jo... | Nondisplaced fracture of the fourth distal phalanx tuft. |
Generate impression based on findings. | Male 51 years old Reason: rule out stone History: L sided pain, severe, poorly localized, hx of crohns disease The lack of intravenous contrast limits evaluation of the solid organs. The lack of oral contrast limits evaluation of the bowel.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Diffus... | 1.High-grade small bowel obstruction with transition point in the central abdomen as described. Small volume of interloop fluid which raises the possibility of complication including ischemia, however there is no pneumatosis intestinalis or intraperitoneal free air.2.Hepatic steatosis. |
Generate impression based on findings. | 79-year-old female. Back pain. Possible metastatic disease. Unknown primary (T4-T8 lesions). CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Scattered small mediastinal lymph nodes. No lymphadenopathy.CORONARY ARTERY CALCIFICATION: No visible coronary artery calcification.CHEST W... | 1. Mixed lytic and sclerotic lesions in the T4 to T10 and L1 to L2 vertebral bodies are suspicious for malignancy, metastatic (primary is not forthcoming from this study) versus myeloproliferative disorder such as multiple myeloma.2. Indeterminate 1.8 x 1.2 cm left adrenal nodule. |
Generate impression based on findings. | Again seen is right trans-occipital approach catheter which terminates at the level of the frontal horns of the lateral ventricle near the midline. There is no acute hemorrhage, mass-effect, or midline shift. The ventricles are interval decreased in size. The gray-white matter differentiation is preserved. There appea... | 1. Compared to 2/3/2014, there is mild decrease in size of the ventricular system compared to 2/3/2014. No hydrocephalus. No new hemorrhage or mass effect.2. Interval fracture and retraction involving the VP shunt tubing inferior to the reservoir in the right upper neck. |
Generate impression based on findings. | 18 year-old male status post gunshot wound to the abdomen. Single view of the pelvis demonstrates normal anatomic alignment without evidence of acute fracture. No unexpected radiopaque foreign object is identified. | No unexpected radiopaque foreign object. |
Generate impression based on findings. | 58 year-old male patient with acute on chronic pancreatitis. Evaluate for pancreatic and pelvic fluid collections as well as position of drain. ABDOMEN:LUNG BASES: Small bilateral pleural effusions with overlying left lower lobe compressive atelectasis.LIVER, BILIARY TRACT: Status post choledochoduodenostomy. Left-side... | 1.Interval decrease in fluid collection along the greater curvature with stable to slightly decreased perisplenic/subdiaphragmatic portion. Interval decrease in loculated ascites in the abdomen and pelvis with percutaneous drain in place in the pelvis.2.Mildly dilated loops of small bowel are favored to represent ileus... |
Generate impression based on findings. | Female, 6 years old. Headache. Evaluate for shunt obstruction.VIEWS: Shunt series: Skull AP/lateral (two views), chest AP/lateral (two views), abdomen AP/lateral (two views) 3/25/15 Ventriculostomy tube tip adjacent to midline within the middle cranial fossa.The valve reservoir is in the occipital region, with strata v... | Shunt catheter fracture in the neck just distal to the shunt reservoir.Findings were discussed with Dr. Staley by the resident on call on 3/25/15 at 6 p.m. |
Generate impression based on findings. | 58-year-old male with cellulitis, concern for osteomyelitis. There is marked diffuse soft tissue swelling and reticulation compatible with edema. Surgical clips are noted in the left upper thigh as well as skin staples in the left lower leg. There is periosteal reaction of the lateral cortex of the distal tibia as well... | 1.Marked diffuse soft tissue swelling of the left leg and foot, compatible with stated history of chronic lymphedema.2.Periosteal reaction of the distal tibia and fibula which is likely related to chronic edema. |
Generate impression based on findings. | 51-year-old male with lung cancer, transferred from outside hospital with suspected left bronchoesophageal fistula LUNGS AND PLEURA: Debris within the trachea may reflect secretions or aspirated material.Severe centrilobular emphysema. No pneumothorax. Small bilateral pleural effusions with adjacent atelectasis. Bilate... | 1.Findings compatible with a left bronchoesophageal fistula as described above.2.Numerous small cavitary nodules, particularly in the left upper lobe metastatic lesions, infection including atypical fungal etiologies.3.Bibasilar lung base consolidation suspicious for infection likely related to aspiration. |
Generate impression based on findings. | 21 year-old female with shortness of breath, evaluate for pulmonary embolism PULMONARY ARTERIES: Technically adequate examination without evidence of pulmonary embolism. Main pulmonary artery caliber is within normal limits.LUNGS AND PLEURA: No pleural effusion or pneumothorax. Central airways are patent. No suspicious... | No evidence of acute pulmonary embolism. Mild bronchial wall thickening suggestive of reactive airway disease.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Female; 50 years old. Reason: eval IVC compression History: BLE swelling s/p surgery ABDOMEN:LUNG BASES: Mild bibasilar subsegmental atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormal... | 1. No acute intra-abdominal or pelvic abnormality.2. Anterior abdominal wall postsurgical changes including probable seroma. |
Generate impression based on findings. | Male 3 years old Reason: 3 yo M malnutrition, bowel resection, concern for refeeding syndrome s/p R femoral PICC. Evaluate placement. VIEW: Abdomen AP (one view) 3/25/15 at 1905 hrs. Gastrostomy tube is noted. The right femoral venous access terminates at the infrahepatic IVC. Rosary appearance of the tip of the right ... | Bone changes concerning for rickets.Central line positioning as described.Generalized, nonspecific bowel distention. |
Generate impression based on findings. | 60 years, Female. Reason: line placement OGT History: ogt fell out, needed replacement Limited study, pelvis is not included in field of view. There is an enteric tube with its tip projecting over the fundus of the stomach. There is a moderate amount of gaseous distention of the stomach. Gaseous distention of large and... | Enteric tube tip projects over the fundus of the stomach. Gaseous distention of large and small bowel may reflect ileus or a distal obstruction. |
Generate impression based on findings. | 58-year-old male with chronic lymphedema with new LLE cellulitis and swelling, r/o abscess or deep infection There is marked asymmetry of the gluteus and iliopsoas muscles as well as marked deformity of the right iliac bone and severe degeneration of the right hip, which are incompletely evaluated on this study. Mild o... | 1.Marked swelling and cellulitis of the soft tissues, without evidence of discrete abscess or underlying bony abnormality.2.Marked deformity of the right iliac bone and right hip, which are incompletely evaluated on this study.3.Mild osteoarthritis affecting the left hip and knee. |
Generate impression based on findings. | 66-year-old male with history of shortness of. Evaluate for pneumonia versus ILD. LUNGS AND PLEURA: There is moderate apical predominant centrilobular and paraseptal emphysema. There is bibasilar predominant smooth interlobular septal thickening, atelectasis, and scarring. Moderate bronchial wall thickening most predom... | 1. Moderate to severe emphysema and mild reticular pattern, likely chronic with possible edema, with small bilateral pleural effusions.2. Right upper lobe scarlike opacity is new from the prior study. Followup in 3-6 months is recommended. |
Generate impression based on findings. | 15-year-old female knee swelling and nonweightbearing.VIEWS: Right knee: AP, oblique, lateral; right ankle AP, oblique, lateral (6 views) 3/26/15 at 0350 Right knee: No fracture or malalignment. No large joint effusion.Right ankle: No large joint effusion. No fracture or malalignment. | Normal examination. |
Generate impression based on findings. | Female, 6 years old. Injury, swellingVIEWS: Right foot AP, right first toe lateral, oblique (3 views) 3/25/15, 1842 The osseous structures and joint spaces are normal.No significant soft tissue swelling noted. | Normal examination. |
Generate impression based on findings. | Male 6 years old Reason: interval change History: intubated, acute chest syndrome, ARDS.VIEW: Chest AP (one view) 3/26/15 at 344 hours. ET tube terminates below thoracic inlet. NG tube tip is at the stomach. Bilateral chest tubes unchanged. The second NG tube has been removed.Cardiac silhouette size is enlarged but sta... | Slight improvement in left lower lobe atelectasis with persistent multifocal opacities and likely superimposed pleural effusions. |
Generate impression based on findings. | Male, 12 years old. Injury. PainVIEWS: Left hand PA, lateral, oblique (3 views) 3/25/2015, 2109 The osseous structures and joint spaces are normal.No significant joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | 52 years, Female. Reason: 52F with abdominal distention and CHF. History: abd distention Nonobstructive bowel gas pattern. Centralization of bowel loops is suggestive of underlying ascites. Please refer to concomitant chest radiograph report for thoracic findings. | Nonobstructive bowel gas pattern with centralized bowel loops suggestive of ascites. |
Generate impression based on findings. | Genu valgus.VIEWS: Mechanical axis/standing lower extremities 03/25/15 Plates and screws devices are noted along the medial aspects of the distal femurs. The screws are divergent. No residual valgus deformity is present. Minimal left talotibial slant is noted with the medial aspect of the talus slightly inferior to the... | No residual genu valgus deformity. |
Generate impression based on findings. | 65M with chronic superior cervical neck pain, subjective sensation of grinding/popping, decreased ROM, pain radiating to left posterior-auricular region, symptoms not responding to physical therapy. Multilevel degenerative changes affect the cervical spine, including moderate disk space narrowing and anterior osteophyt... | Multilevel degenerative changes as above. No evidence of instability on flexion/extension. |
Generate impression based on findings. | Female 30 years old Reason: rule out infection, urolithiasis History: RLQ and right flank pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnorm... | No CT findings to explain patient's acute abdominal pain. |
Generate impression based on findings. | Female 32 days old Reason: Opacity, Heart size History: RSV bronchiolitis, persistent tachycardiaVIEW: Chest AP (one view) 3/26/15 at 352 hours. The aortic arch, cardiac apex and stomach are left-sided.Cardiac silhouette is normal in size and shape. Peribronchial thickening and right upper and lower lobes opacity, eith... | Bronchiolitis with superimposed right upper and lower lobes opacities, either atelectasis or pneumonia. |
Generate impression based on findings. | 4-month-old male with abdominal distentionVIEW: Chest and Abdomen AP (two views) 3/26/15 at 0811 Chest: Endotracheal tube is between the thoracic inlet and the carina. Right PICC with tip in the axillary vein. Nasogastric tube tip and proximal side hole in the gastric body. The cardiothymic silhouette is normal. Large ... | Increased gaseous distention of bowel, obstruction cannot be excluded. Persistent ill-defined perihilar opacities. |
Generate impression based on findings. | 60-year-old male. Right upper quadrant pain, with hepatitis. EPIC history: RCC s/p partial nephrectomy 2001. Hepatitis C. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Normal contour of the liver with no focal lesion. No biliary ductal dilatation.SPLEEN: No significant abnormality notedPANCR... | 1. No specific findings to explain the patient's symptoms. 2. 1.4 x 1.7 cm left lower pole renal lesion has significantly increased in size from 2006, suspicious for a primary renal malignancy, further characterization with dedicated renal CT or MRI is recommended.Findings communicated over the phone to the ER, Dr. Con... |
Generate impression based on findings. | Respiratory insufficiency.VIEW: Chest AP (one view) 3/26/15 at 4 03 hours. Tracheostomy and gastrostomy tubes unchanged. Cardiac silhouette size is top normal. Persistent bibasilar opacities with interval improvement in right upper lobe atelectasis. | Improvement in right upper lobe atelectasis with persistent bibasilar opacities. |
Generate impression based on findings. | Clinical question: Cause of new headache? Signs and symptoms: New headache, ESRD, SLE, on steroids. Nonenhanced head CT:No acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.There are patchy periventricular and subcortical low attenuation white matter whic... | 1.No acute intracranial process.2.Findings of age indeterminate small vessel ischemic strokes of mild degree.3.Recommend follow-up with MRI exam. |
Generate impression based on findings. | 80 year-old female s/p L distal femur ORIF w/ IM nail. Intramedullary nail with proximal and distal transverse interlocking screws affixes a distal femoral fracture in near anatomic alignment. Staple lines around the knee and hip reflect recent surgery. | Near anatomic alignment of distal femoral fracture after orthopedic fixation, as above. |
Generate impression based on findings. | 57 years, Female. Reason: eval for obstruction History: abd pain Study is limited by overlying wires. Nonobstructive bowel gas pattern. No dilated loop of bowel suggest obstruction. Pelvic phleboliths. Right total hip arthroplasty device with surrounding lucency, predominantly around the femoral component is concerning... | 1. Nonobstructive bowel gas pattern.2. Right total hip arthroplasty with concern for particleware osteolysis. Dedicated hip radiographs are recommended. |
Generate impression based on findings. | Male; 41 years old. Reason: rule out mass or partial SBO History: early satiety, diarrhea >2 weeks ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Hepatomegaly and diffuse hepatic steatosis. No focal hepatic lesions. No intra-or extrahepatic biliary ductal dilatation.SPLEEN: No significant abn... | 1. Hepatomegaly and diffuse hepatic steatosis.2. Mildly enlarged nonspecific mesenteric lymph nodes, most likely reactive in the setting of chronic liver disease. |
Generate impression based on findings. | Male 43 days old Reason: r/o nec History: distension, tenderness, fixed loopVIEW: Chest and abdomen AP (two views) 3/26/15 at 559 hours. ET tube terminates below the thoracic inlet. Central line tip is at the right atrium. Mediastinal tip and NG tube unchanged.Cardiac silhouette size is top normal. Diffuse lung hazines... | Right lower lobe opacity colonic atelectasis.Disorganized, nonspecific abdominal gas pattern. |
Generate impression based on findings. | 56-year-old female patient with bilateral back pain, hematuria and nausea. Evaluate for renal calculi. Exam is not sensitive for detecting lesions in the bowel and solid organs due to the lack of oral and intravenous contrast. Given those limitations, the following observations are made:ABDOMEN:LUNG BASES: Basilar atel... | No findings to account for patient's symptoms. Specifically, no renal calculi. |
Generate impression based on findings. | 69-year-old male. History of pancreatic cancer status post chemo, presenting with decreased appetite, nausea/vomiting, elevated bilirubin. Evaluate metastatic burden. CHEST:LUNGS AND PLEURA: Stable scattered micronodules, likely postinflammatory.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Right chest... | Stable examination with regards to extensive metastatic disease with no new sites of involvement. |
Generate impression based on findings. | Female; 65 years old. Reason: evaluate for acute intraabdominal infection History: Abdominal pain ABDOMEN:LUNG BASES: Intrathoracic stomach with organoaxial volvulus. NG tube tip coiled within the stomach with tip in the fundus. No evidence of obstruction with contrast seen opacifying the gastric antrum, which is at th... | 1. Findings suspicious for acute cholecystitis. Abdominal ultrasound is recommended.2. Large pelvic fatty tumor, most likely a uterine benign lipomatous tumor. However, given its size the mass may be adnexal in origin. Correlation with pelvic ultrasound is recommended.3. Intrathoracic stomach with nonobstructive organo... |
Generate impression based on findings. | 91-year-old female with history of lung collapse on chest radiograph. LUNGS AND PLEURA: There is complete collapse of the left upper lobe with resultant leftward mediastinal shift, appearing similar to the prior CT. There is a smooth tapering of the left upper lobe bronchus which is then completely opacified distally. ... | There is complete collapse of the left upper lobe with a smooth tapering of the left upper lobe mainstem bronchus. This is similar in appearance to the chest CT from July 2014, however a chest radiograph from January of 2015 demonstrated re-aeration of the left upper lobe making recurrent mucous plugging the most likel... |
Generate impression based on findings. | Reason: Evaluate s/p removal of Abx spacer and placement of new static Abx spacer Two views of the right knee demonstrate interval exchange of radiopaque spacing device in near-anatomic alignment, without evidence of fracture or dislocation. Skin staples and an iatrogenic gas are present in the soft tissues. | Interval exchange of radiopaque spacing device without evidence of fracture or dislocation. |
Generate impression based on findings. | 51-year-old male patient with abdominal pain. ABDOMEN:LUNG BASES: Basilar atelectasis.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Subcentimeter bilateral hype... | Mildly dilated loops of small bowel without transition point is favored to represent ileus. |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.